Clinic Research On Elongated Needle Throu Ghthorn Back-shu Points In The Treatment Of Equil Ibrium Disorder After Cerebral Stroke

1 PurposeThis topic is a method of elongated needle through thorn back-shu points,using Berg balance scale,Fugl-Meyer balance function Evaluation Table and Activity of daily living scale for scoring.Confirms the effectiveness of this therapy in the treatment of post-stroke balance dysfunction.Provide reliable clinical basis for elongated needle through thorn back-shu points treatment of post-stroke balance dysfunction.2 MethodFollowing the sequence of visits,70 patients who meet the inclusion criteria will be randomly divided into two groups.Eongated needle through thorn back-shu points group(therapy group)and Rehabilitation training group(Control group),each group 35 cases.Elongated needle through thorn back-shu points group clinical operation method;First,use 75%alcohol to routinely sterilize the skin.Using a 5-inch or 7-inch elongated needle through thorn back-shu point.When the needle is inserted,the healer holds the needle handle with his right hand,while the left hand is close to the acupuncture point with the upper part of the needle holder,and the right hand applies the turbulent needle acupuncture method.The left hand's thumb and index finger exert downward pressure,and the two hands cooperate to exert force,and the pressure point of the left hand quickly pushes the needle into the epidermis.Then slowly enter the needle to reach the expected depth.The extent of twisting when the needle is inserted and the needle should be moderate.To avoid the occurrence of delayed needles or localized pain,one can not tamper with one way.There are a total of 12 acupoints on the side of the back-shu point,Feishu ? Jueyinshu ? Xinshu ? Ganshu;Danshu ? Pishu?Weishu ? Sanjiaoshu ? Shenshu? Dachangshu ? Xiaochangshu ?Pangguangshu.The person who is being acupunctured takes a prone position,elongated needle through thorn back-shu points,and a uniform reinforcing-reducing was applied.After acupuncture,the 40 minutes for needle retention and needling manipulation.Treatment course:Treatment once a day in the morning,6 times a week,l day off per week,1 course of treatment 4 weeks.Rehabilitation training group of clinical methods of operation:(1)Timing adjustment position and maintain good physical location;(2)To prevent joint contractures,a full range of massage on the affected limb,while passively moving joints;(3)Walking training;(4)Balance training stations;(5)Sitting balance training;(6)The affected limb facilitation training;(7)The training of activity of daily living.Treatment course:Treatment once a day in the morning,once used 45min,6 times a week,1 day off per week,1 course of treatment 4 weeks.Using Berg balance scale;Fugl-Meyer balance function rating scale and Activity of daily living scale for scoring.Observe its status of equil-ibrium disorder after cerebral stroke before and after treatment.And statistics of clinical efficiency.Evaluation of two methods for the treatment of equil-ibrium disorder after cerebral stroke improvement.3.The resultGeneral Information ResearchrCompared with the general data between the two groups,the difference is not significant(P>0.05),they are comparable.Performance evaluation:(1)After treatment compared with before treatment,the group BBS,FMB,BI scale values were increased in the control group,and they have a very significant difference(P<0.01).(2)After treatment compared with before treatment,the group BBS,FMB,BI scale values were increased in the treatment group,and they have a very significant difference(P<0.01).(3)Before treatment,there was no significant difference between the two groups in the BBS,FMB,and BI scales(P>0.05);After treatment,BBS,FMB,BI scale value of the treatment group than the control group,and they have a very significant difference(P<0.01).4.Conclusion(1)Elongated needle through thorn back-shu point and rehabilitation training can improve equil-ibrium disorder ability after cerebral stroke.(2)Elongated needle through thorn back-shu point effective than rehabilitation,has high value in clinical practice.